Posterior dirsek bölgesi yumuşak doku defektlerinin onarımında posterior radial kollateral arter bazlı flep (lateral kol flebi) modifikasyonları

Giriş: Posterior dirsek bölgesinin yumuşak doku defektlerinin onarımında bir çok flep kullanılmaktadır. Posterior kollateral radial arter bazlı lateral kol flebi en sık kullanılan fleplerden bir tanesidir.Amaç: Bu çalışmada posterior dirsek bölgesi yumuşak doku defektlerinin onarımında kullanılan lateral kol flebinin modifikasyonlarının gözden geçirilmesi amaçlanmıştır.Gereç ve Yöntem: Pubmed’de anahtar kelimeler tarandı. Posterior dirsek bölgesi defektlerinin onarımında kullanılmış olan posterior radial kollateral arter bazlı fleplerin tasarımları incelenerek tanımlanan flep modifikasyonları ortaya koyuldu.Tartışma: İlk olarak 1982’de serbest flep olarak kullanılan lateral kol flebi daha sonra pediküllü olarak kullanılmaya başlanmıştır ve pediküllü flebin bir çok modifikasyonu tarif edilmiştir. Flep ters akımlı veya düz akımlı kullanılabilir. Geniş defekler için genişletilmiş (extended) tasarlanabildiği gibi defektin onarımındaki ihtiyaca göre fasiykutanöz, adipofasiyal veya osteokutanöz hazırlanabilir. Posterior radial kollateral arter perrforatör fleplerinin donör alan morbiditesi azdır ve perforatör flepler propellar veya V-Y ilerletme flebi şeklinde kullanılabilir. Sonuç: Lateral kol flebi, posterior dirsek bölgesi yumuşak doku defektlerinin onarımı için kullanılabilecek birçok modifikasyonu olan çok kullanışlı ve güvenilir fleptir.

Anahtar Kelimeler:

dirsek, lateral kol flebi, posterior radial kollateral arter

Posterior radial collateral artery based flap (lateral arm flap) modifications for repairing the soft tissue defects of the posterior elbow region

Introduction: Several flaps are used for repairing the soft tissue defects of the posterior elbow region. Posterior collateral artery based lateral arm flap is one of the most frequently used flaps.Aim: Is to review modifications of lateral arm flap for repairing the soft tissue defects of the posterior elbow region..Material and Method: Keywords are searched at Pubmed. By analysing designs of the posterior radial collateral artery based flaps that were used for posterior elbow soft tissue defects, flap modifications are pointed out.Results: Lateral arm flap ,which is initially used as free flap at 1982, subsequently used as pediculled flap and several modification of pediculled flap are described. It can be used as distally based (reverse) or proximally based. For covering large defects, extended flap can be designed. According to absent tissue to reconstruct, it can be used as fasiocutaneous, adipofascial or osteocuteneous flap. Donor site morbidity of posterior radial collateral artery perforator flap is inconsiderable and perforator flaps can be used as propellar or V-Y advancement flaps. Conclusion: For repairing soft tissue defects os posterior elbow region. lateral arm flap is a reliable and versatile flap that has several modifications.

Keywords:

elbow, lateral arm flap, posterior radial kollateral arter,

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